NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching with the parents of a 6-year-old client who is experiencing fecal incontinence related to functional constipation. Which of the following information should the nurse reinforce? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Reward systems, foot stools, increased fluids, and tracking bowel movements aid in managing constipation. Sitting for 30 minutes is excessive and impractical.
Question 2 of 5
The nurse is reinforcing teaching for a client with heart failure who has had multiple admissions to treat exacerbations. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: High-potassium foods can cause hyperkalemia in heart failure patients, especially with certain medications, requiring follow-up. Other statements are appropriate.
Question 3 of 5
A client with a embolus has an order for a continuous infusion of heparin. The doctor has ordered 1,200 units per hour. If the solution contains 1,250 units in $250 \mathrm{~mL}$, the nurse should administer how many $\mathrm{mL}$ per hour?
Correct Answer: B
Rationale: Calculation: (1,200 units/hour ÷ 1,250 units) × 250 mL = 24 mL/hour. This ensures the correct heparin dose is delivered.
Question 4 of 5
To prevent keratitis in an unconscious client, the nurse should apply moisturizing ointment to the
Correct Answer: B
Rationale: Eyes. Keratitis is a corneal ulcer or abrasion. Keratitis is caused by exposure and requires application of moisturizing ointment to the exposed cornea and a plastic bubble shield or eye patch.
Question 5 of 5
The nurse is screening clients for those at risk of developing syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should recognize that the client at highest risk for developing SIADH is a client with
Correct Answer: B
Rationale: Small cell lung cancer is strongly associated with SIADH due to ectopic ADH production. Other conditions listed are not significant risk factors.